| NPI | 1508108689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: MI 4301506359) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MD D85449) |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2023-09-13 |